| NPI | 1326358953 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: PA SP010865) |
| Additional Taxonomies | 164W00000X Licensed Practical Nurse (Licence: PA RN518738L) |
| Enumeration Date | 2010-10-17 |
| Last Update Date | 2018-03-30 |